Basic Information
Provider Information
NPI: 1851558654
EntityType: 2
ReplacementNPI:  
OrganizationName: HOWARD UNIVERSITY HOSPITAL
LastName:  
FirstName:  
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NameSuffix:  
Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 9002 MANCHESTER RD
Address2: 36
City: SILVER SPRING
State: MD
PostalCode: 209014127
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2041 GEORGIA AVE NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200600001
CountryCode: US
TelephoneNumber: 2028656100
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/20/2008
LastUpdateDate: 05/20/2008
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: SEALY
AuthorizedOfficialFirstName: PETER
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PROGRAMME DIRECTOR
AuthorizedOfficialTelephone: 2028656100
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X  Y HospitalsGeneral Acute Care Hospital 

No ID Information.


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